| NPI | 1801226618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1237961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25402) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |